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Exam (elaborations)

nur676 exam 3 Questions and Answers (100% Pass)

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  • Course
  • NUR 676
  • Institution
  • NUR 676

most common GI complaint in primary care and most common dx for GI... IBS IBS occurs in... mostly young adults but in ALL ages IBS is considered a .... gut brain disorder has variety of GI sx characteristics of IBS abdominal pain PLUS 1. altered bowel habits 2. sx constipation( i...

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  • October 2, 2024
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 676
  • NUR 676
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ExamArsenal
1 | P a g e | © copyright 2024/2025 | Grade A+




nur676 exam 3 Questions and
Answers (100% Pass)
most common GI complaint in primary care and most common dx for GI...


✓ IBS




IBS occurs in...


✓ mostly young adults

✓ but in ALL ages




IBS is considered a ....


✓ gut brain disorder

has variety of GI sx




characteristics of IBS


✓ abdominal pain PLUS

1. altered bowel habits


2. sx constipation( infrequent stools/ straining/hard stools/ feeling of

incomplete or difficult evacuation)




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

Gi motility in IBS result of ...


✓ stress

anxiety


drugs


anger


acute intestinal infections


small bowel bacterial overgrowth




common s/sx of IBS


✓ chronic abd pain

bloating /distension


flatulence


bowel habit changes




what helps differentiate IBS from others


✓ MUST have abdominal pain present




IBS abdominal pain characteristics


✓ nonradiating, intermittent, crampy

usually in LLQ

Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




s/sx of IBS usually occurs after ...


✓ consuming meals (large) or alcohol




NOT IBS if ...


✓ nocturnal sx

bloody or greasy stools


weight loss or malnutrition


GI bleed


anemia


N/V recurs


fever




Physical exam for IBS


✓ VS

abdominal/pelvic/rectal exams:


-increased tympanic percussion


-palpable sigmoid colon


-tenderness on rectal exam



Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




diagnostics for IBS sx


✓ labs

CBC/ ESR/TSH/LFT


stool cultures


colonoscopy


lactose free diet trial


abdominal US


GYN/GI referral




colonoscopy recommended for pt with IBS if


✓ 1. <40 healthy adult with acute bowel change

2. >50


3. pts with weight loss, anemia, occult blood




Initial approach: use ROME IV criteria


✓ 1. sx present >3 months

2. initial sx onset >6 months of IBS dx


3. abdominal pain at least once a weekfor previous 3 months with 2+ sx



Master01 | September, 2024/2025 | Latest update

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